200 Pharmacy

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NPI Provider: 1285635094
Contact Name: WHITE SHERMAN
Position: REG PHARMACIST AND VP
Phone: (773) 374-4550

200 Pharmacy Information:

200 Pharmacy organization have npi 1285635094, taxonomy code is 332B00000X with license number is in . This Business address located in 9133 S Stony Island Ave, Chicago, IL 60617 Illinois. Get directions of 200 Pharmacy.

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Practice Location
Address: 9133 S Stony Island Ave, Chicago, IL 60617
Phone: (773) 374-4550

Business Location

Address: 9133 S Stony Island Ave, Chicago, IL 60617

Taxonomy

Taxonomy Code: 332B00000X

License Number:

License Number of State:

Primary Taxonomy Switch: N

Enumeration Date: 8/2/2005

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